Lecture 3 Flashcards
Variations in ROM
research parameter variability
age
gender
body size
anatomic variations
SAID principle
SAID principle
Specific Adaption to Imposed Demand
Backing up the car
60-70° of cervical rotation
Looking up at the ceiling
40-50° of cervical extension
Moving from sit to stand
Need 35° of lumbar flexion
Picking up object from floor
at least 60° of lumbar flexion
Measuring AROM Steps
Determine type of measurement/device
Explain to patient
Position patient
Have patient move actively
Palpate bony landmarks
Align measurement device
Move goni through movement
Cervical flexion/extension AROM goni
Axis – auditory meatus
Stationary arm–perpendicular to floor
Moving arm–in line with base of nares
Cervical flexion/extension AROM inclinometer
vertex of the skull
Cervical lateral flexion AROM
Axis–spinous process C7
Stationary Arm–perpendicular to floor
Moving Arm–posterior midline of skull/occipital protuberance
Cervical lateral flexion AROM inclinometer
vertex of skull
Cervical Rotation AROM
Axis–vertex of skull
Stationary –line btwn 2 acromion processes
Moving–midline of nose
Cervical Rotation AROM inclinometer
in-between eyebrows
RED numbers for reading
Lumbar Flexion AROM
Axis: mid-axillary @ lowest rib
Stationary: perpendicular to floor
Moving arm: mid-axillary line
Lumbar Flexion AROM inclinometer
vertical on SP, 15 cm superior from PSIS line
Lumbar Extension AROM
Axis: mid-axillary line at lowest rib
Stationary: vertical to floor
Moving: along mid-axillary line
Lumbar Extension AROM inclinometer
vertical on SP, 15 cm superior from PSIS line
ThoracoLumbar Lateral Flexion AROM
Axis: Spinous process of S1 vertebra
Moving: Spinous process of C7
Stationary: vertical to floor
ThoracoLumbar Rotation AROM
Axis: as close to axis of motion as possible
Stationary: parallel to scapulae in starting position
Moving arm: parallel to bar patient is holding
ThoracoLumbar Rotation AROM inclinometer
T1 SP and T12 SP
Alternate Thoracic rotation
Dowel held at acromion process
pelvis stabilized by squeezing knees
inclinometer at T2